Healthcare Provider Details

I. General information

NPI: 1518875129
Provider Name (Legal Business Name): ALEXA RUBIN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

812 S THERESA AVE
SAINT LOUIS MO
63103-2935
US

IV. Provider business mailing address

647 SPIRIT AIRPARK WEST DR STE 101
CHESTERFIELD MO
63005-1032
US

V. Phone/Fax

Practice location:
  • Phone: 314-501-1481
  • Fax:
Mailing address:
  • Phone: 636-812-2050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2026042297
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: